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1043613730
MEGAN KOONTS PAYNE
WINSTON SALEM, NC
NPI
1043613730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05296)
Enumeration Date
2014-10-08
Last Update Date
2016-03-28
Business Address
-- MEGAN KOONTS PAYNE PA-C
140 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1522
Phone number: 336-716-0664
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Mailing Address
-- MEGAN KOONTS PAYNE PA-C
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2011
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